Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00688 | Date 25/08/2018 |
| Token No | SM/20-21/29599 21/01/2021 | Serial | 019 Last Visit: 13/12/2025 |
| Patient Name | Mrs. MALLIKA LAHA | Contact No | 9831878648 |
| Address | CHATRA BARUIPARA | Age | 49 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||